Wendy Sugiono, DDS, Magd, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27931 Issued in CA

Legal business name

WENDY SUGIONO, DDS, MAGD, INC.

Practice address

9482 Baseline Rd
Alta Loma, CA 91701-5822

Phone

(909) 980-1411

NPI assigned

Sep 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wendy Sugiono, DDS

Title

Ceo

Phone

(909) 980-1411

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1679973036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9482 BASELINE RD",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917015822",
            "telephone_number": "909-980-1411",
            "fax_number": "909-980-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9482 BASELINE RD",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917015822",
            "telephone_number": "909-980-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY SUGIONO, DDS, MAGD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "SUGIONO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-980-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27931",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kirstine Vancil, PA-C
• Caroline Vano
• Chhagan Vasoya, R.PH.
• Ashlee Vigano, AMFT
• Wade W. Weisz, O.D.
• Claude William

• General Practice Dentistry in Alta Loma, CA
• Providers in Alta Loma, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.